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Individual

DR. MARLON ALANDO CLARKE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D

Contact information

Practice address
14 RICHLAND MEDICAL PARK DR STE 320, COLUMBIA, SC 29203-6896
(803) 434-6771
Mailing address
PO BOX 743904, ATLANTA, GA 30374-3904
(803) 296-7320

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
LL33675
SC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
336755
SC
Enumeration date
07/19/2011
Last updated
06/10/2019
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